8.4 小结

更新于 2026年10月28日 版权声明
8.4 小结

尾内侧入路单向环路式腹腔镜右半结肠癌根治术具有如下优点:①有利于进入正确的外科解剖层面,保证脏层筋膜完整锐性游离;②有利于确认肠系膜上静脉,行中央血管高位结扎和系膜根部淋巴结清扫;③可避免术中反复翻动肠管和系膜,降低接触肿瘤的可能性,有效减少系膜破损和肿瘤种植转移概率。

(蔡永华、康亮)

参考文献

[1]GROUP CCLOORS,BUUNEN M,VELDKAMP R,et al.Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial[J].Lancet Oncol,2009,10(1): 44-52.

[2]VELDKAMP R,KUHRY E,HOP W C,et al.Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial[J].Lancet Oncol,2005,6(7): 477-484.

[3]FLESHMAN J,SARGENT D J,GREEN E,et al.Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial[J].Ann Surg,2007,246(4): 655-662; discussion 62-64.(https://www.daowen.com)

[4]JUO Y Y,HYDER O,HAIDER A H,et al.Is minimally invasive colon resection better than traditional approaches: First comprehensive national examination with propensity score matching[J].JAMA Surg,2014,149(2): 177-184.

[5]ZIMMERMANN M,BENECKE C,JUNG C,et al.Laparoscopic resection of right colon cancer—a matched pairs analysis[J].Int J Colorectal Dis,2016,31(7): 1291-1297.

[6]池畔,陈致奋.腹腔镜右半结肠癌根治术解剖学基础与规范化手术[J].中华普外科手术学杂志(电子版),2015,(01): 7-13.

[7]HOHENBERGER W,WEBER K,MATZEL K,et al.Standardized surgery for colonic cancer: complete mesocolic excision and central ligation-technical notes and outcome[J].Colorectal Dis,2009,11(4): 354-364; discussion 64-65.

[8]郑民华,马君俊.腹腔镜右半结肠完整结肠系膜切除术[J].中华腔镜外科杂志(电子版),2015,(01): 1-4.

[9]蔡永华,张兴伟,侯煜杰,等.尾内侧入路单向环路式腹腔镜辅助右半结肠癌根治术的临床疗效[J].中华消化外科杂志,2016,15(9): 928-932.

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